Comparable anatomical and functional success to younger patients in endoscopic dacryocystorhinostomy patients of older age

Authors

Keywords:

Endoscopic dacryocystorhinostomy, Age, Epiphora, Nasolacrimal duct obstruction

Abstract

Background/Aim: Endoscopic dacryocystorhinostomy (EDCR) has many advantages over the external method, with comparable anatomical and functional success rates. Delayed wound healing is reported to be associated with older age in previous studies. In this study, we aimed to assess the effect of age on the functional and anatomic success of our EDCR results. Methods: A total of 55 patients with nasolacrimal duct obstruction (NLDO) were included in this retrospective cohort study. Patients were managed with either EDCR alone or EDCR combined with nasal septoplasty in our hospital. The patients were divided into two groups as Group 1 (20-54 years old) and Group 2 (55-77 years old) according to age. Results: The mean ages of the patients in Groups 1 and 2 were 38.53 (9.55) years and 66.24 (6.36) years, respectively (P<0.001). EDCR was performed on 30 nasolacrimal ducts in Group 1 and 38 nasolacrimal ducts in Group 2. Forty-one cases (60.3%) were managed only with EDCR, and 27 (39.7%) patients underwent septoplasty surgery in addition to EDCR due to septum deviation. There was no significant difference between the groups in terms of anatomical and functional success (P=0.239 and P=0.233). Conclusion: Our results showed that comparable anatomical and surgical success rates are possible in NLDO in older patients compared with younger patients. This result may encourage surgeons with question marks about the success of the EDCR in older age NLDO patients.

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References

McDonogh M. Endoscopic transnasal dacryocystorhinostomy. Results in 21 patients. S Afr J Surg. 1992 Sep;30(3):107-10. PMID: 1411802.

Presutti L. La dacriocistorinostomia per via endonasale (Endonasal dacryocystorhinostomy). Acta Otorhinolaryngol Ital. 1995 Dec;15(6):449-53. Italian. PMID: 8711999.

Par I, Pliskvova I, Plch J. Endoscopic endonasal dacryocystorhinostomy: Indications, technique and result. Cesk Slov Oftalmol. 1998; 54:387-391.

Häusler R, Caversaccio M. Microsurgical endonasal dacryocystorhinostomy with long-term insertion of bicanalicular silicone tubes. Arch Otolaryngol Head Neck Surg. 1998 Feb;124(2):188-91. doi: 10.1001/archotol.124.2.188. PMID: 9485111..

Fayet B, Racy E, Assouline M. Systematic unciformectomy for a standardized endonasal dacryocystorhinostomy. Ophthalmology. 2002 Mar;109(3):530-6. doi: 10.1016/s0161-6420(01)00977-0. PMID: 11874757.

Kong YT, Kim TI, Kong BW. A report of 131 cases of endoscopic laser lacrimal surgery. Ophthalmology. 1994 Nov;101(11):1793-800. doi: 10.1016/s0161-6420(94)31100-6. PMID: 7800358.

Bartley GB. Acquired lacrimal drainage obstruction: an etiologic classification system, case reports, and a review of the literature. Part 1. Ophthalmic Plast Reconstr Surg. 1992;8(4):237-42. PMID: 1476972.

Olver JM. The success rates for endonasal dacryocystorhinostomy. Br J Ophthalmol. 2003 Nov;87(11):1431. doi: 10.1136/bjo.87.11.1431. PMID: 14609858; PMCID: PMC1771892.

Sung JY, Lee YH, Kim KN, Kang TS, Lee SB. Surgical outcomes of endoscopic dacryocystorhinostomy: analysis of age effect. Sci Rep. 2019 Dec 27;9(1):19861. doi: 10.1038/s41598-019-56491-y. PMID: 31882774; PMCID: PMC6934695.

Tsirbas A, Wormald PJ. Mechanical endonasal dacryocystorhinostomy with mucosal flaps. Br J Ophthalmol. 2003 Jan;87(1):43-7. doi: 10.1136/bjo.87.1.43. PMID: 12488261; PMCID: PMC1771466.

Tsirbas A, Wormald PJ. Endonasal dacryocystorhinostomy with mucosal flaps. Am J Ophthalmol. 2003 Jan;135(1):76-83. doi: 10.1016/s0002-9394(02)01830-5. PMID: 12504701.

Baek JS, Jeong SH, Lee JH, Choi HS, Kim SJ, Jang JW. Cause and Management of Patients With Failed Endonasal Dacryocystorhinostomy. Clin Exp Otorhinolaryngol. 2017 Mar;10(1):85-90. doi: 10.21053/ceo.2016.00192. Epub 2016 Jul 7. PMID: 27384034; PMCID: PMC5327589.

Leong SC, Macewen CJ, White PS. A systematic review of outcomes after dacryocystorhinostomy in adults. Am J Rhinol Allergy. 2010 Jan-Feb;24(1):81-90. doi: 10.2500/ajra.2010.24.3393. PMID: 20109333.

Zuercher B, Tritten JJ, Friedrich JP, Monnier P. Analysis of functional and anatomic success following endonasal dacryocystorhinostomy. Ann Otol Rhinol Laryngol. 2011 Apr;120(4):231-8. doi: 10.1177/000348941112000403. PMID: 21585152.

Shams PN, Chen PG, Wormald PJ, Sloan B, Wilcsek G, McNab A, et al. Management of functional epiphora in patients with an anatomically patent dacryocystorhinostomy. JAMA Ophthalmol. 2014 Sep;132(9):1127-32. doi: 10.1001/jamaophthalmol.2014.1093. PMID: 24903661.

Kamel R, El-Deen HG, El-Deen YS, El-Hamshary M, Assal A, Farid M, Sleit A, El-Gamal H. Manometric measurement of lacrimal sac pressure after endoscopic and external dacryocystorhinostomy. Acta Otolaryngol. 2003 Jan;123(2):325-9. doi: 10.1080/00016480310001196. PMID: 12701768.

Detorakis ET, Drakonaki EE, Bizakis I, Papadaki E, Tsilimbaris MK, Pallikaris IG. MRI evaluation of lacrimal drainage after external and endonasal dacryocystorhinostomy. Ophthalmic Plast Reconstr Surg. 2009 Jul-Aug;25(4):289-92. doi: 10.1097/IOP.0b013e3181ac5320. PMID: 19617787.

Cohen O, Amos I, Halperin D, Bavnik Y, Milstein A, Shoshani Y, et al. Five- and 10-Year Outcomes for Primary Endoscopic Dacryocystorhinostomy: Failure Rate and Risk Factors. Laryngoscope. 2021 Jan;131(1):10-16. doi: 10.1002/lary.28528. Epub 2020 Feb 3. PMID: 32011002.

Zenk J, Karatzanis AD, Psychogios G, Franzke K, Koch M, Hornung J, et al. Long-term results of endonasal dacryocystorhinostomy. Eur Arch Otorhinolaryngol. 2009 Nov;266(11):1733-8. doi: 10.1007/s00405-009-1000-1. Epub 2009 May 26. PMID: 19468739.

Dolmetsch AM. Nonlaser endoscopic endonasal dacryocystorhinostomy with adjunctive mitomycin C in nasolacrimal duct obstruction in adults. Ophthalmology. 2010 May;117(5):1037-40. doi: 10.1016/j.ophtha.2009.09.028. Epub 2010 Jan 15. PMID: 20079535.

Sung JY, Lee YH, Kim KN, Kang TS, Lee SB. Surgical outcomes of endoscopic dacryocystorhinostomy: analysis of age effect. Sci Rep. 2019 Dec 27;9(1):19861. doi: 10.1038/s41598-019-56491-y. PMID: 31882774; PMCID: PMC6934695.

Mak ST, Io IY, Wong AC. Prognostic factors for outcome of endoscopic dacryocystorhinostomy in patients with primary acquired nasolacrimal duct obstruction. Graefes Arch Clin Exp Ophthalmol. 2013 May;251(5):1361-7. doi: 10.1007/s00417-012-2228-9. Epub 2012 Dec 19. PMID: 23250482.

Kim ST, Jin LY, Ahn HB. Combination Surgery of Silicone Tube Intubation and Conjunctival Resection in Patients with Epiphora. Korean J Ophthalmol. 2018 Dec;32(6):438-444. doi: 10.3341/kjo.2018.0044. PMID: 30549466; PMCID: PMC6288025.

Ali MJ, Psaltis AJ, Murphy J, Wormald PJ. Powered endoscopic dacryocystorhinostomy: a decade of experience. Ophthalmic Plast Reconstr Surg. 2015 May-Jun;31(3):219-21. doi: 10.1097/IOP.0000000000000261. PMID: 25162414.

Koval T, Zloto O, Yakirevitch A, Ben Simon GJ, Ben-Shoshan J, Ben Artsi E, Weissman A, Priel A. No impact of nasal septoplasty on the outcome of endoscopic dacryocystorhinostomy. Eye (Lond). 2020 Aug;34(8):1454-1458. doi: 10.1038/s41433-019-0696-4. Epub 2019 Nov 25. PMID: 31767960; PMCID: PMC7376107.

Ali MJ, Psaltis AJ, Wormald PJ. The Frequency of Concomitant Adjunctive Nasal Procedures in Powered Endoscopic Dacryocystorhinostomy. Orbit. 2015 Jun;34(3):142-5. doi: 10.3109/01676830.2015.1014509. Epub 2015 Apr 22. PMID: 25902413.

Singh S, Alam MS, Ali MJ, Naik MN. Endoscopic intranasal findings in unilateral primary acquired nasolacrimal duct obstruction. Saudi J Ophthalmol. 2017 Jul-Sep;31(3):128-130. doi: 10.1016/j.sjopt.2017.05.013. Epub 2017 May 29. PMID: 28860907; PMCID: PMC5569328.

Nussbaumer M, Schreiber S, Yung MW. Concomitant nasal procedures in endoscopic dacryocystorhinostomy. J Laryngol Otol. 2004 Apr;118(4):267-9. doi: 10.1258/002221504323011996. PMID: 15117463.

Bayraktar C, Şimşek A. Increased Concomitant Nasal Procedure Frequency in Bilateral Endoscopic Dacryocystorhinostomy. J Craniofac Surg. 2017 Jun;28(4):980-982. doi: 10.1097/SCS.0000000000003502. PMID: 28178100.

Figueira E, Al Abbadi Z, Malhotra R, Wilcsek G, Selva D. Frequency of simultaneous nasal procedures in endoscopic dacryocystorhinostomy. Ophthalmic Plast Reconstr Surg. 2014 Jan-Feb;30(1):40-3. doi: 10.1097/IOP.0000000000000005. PMID: 24398485.

Fayet B, Katowitz WR, Racy E, Ruban JM, Katowitz JA. Endoscopic dacryocystorhinostomy: the keys to surgical success. Ophthalmic Plast Reconstr Surg. 2014 Jan-Feb;30(1):69-71. doi: 10.1097/IOP.0000000000000038. PMID: 24398492.

Miyake MM, Gregorio LL, Freitag SK, Lefebvre DR, Gray ST, Holbrook EH, et al. Impact of endoscopic dacryocystorhinostomy on sinonasal quality of life. Am J Rhinol Allergy. 2016 Sep;30(5):189-91. doi: 10.2500/ajra.2016.30.4332. PMID: 27657894.

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Published

2021-07-01

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Research Article

How to Cite

1.
Erkan E, Çıkrıkcı S, Ağdaş F. Comparable anatomical and functional success to younger patients in endoscopic dacryocystorhinostomy patients of older age. J Surg Med [Internet]. 2021 Jul. 1 [cited 2022 Dec. 1];5(7):695-9. Available from: https://jsurgmed.com/article/view/825313